Georgia Dental Professionals, PC
NPI 1790662682ActiveOrganization· Dentist, General Practice· Lithia Springs, GA
Dentist, General Practice in Lithia Springs, Georgia, registered in NPPES in August 2025, part of Georgia Dental Professionals, PC. The authorized official on file is Hillary Thull, Credentialing Coordinator.
Overview
| NPI | 1790662682 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | Georgia Dental Professionals, PC |
| NPI issued | Aug 20, 2025 |
| Last updated in NPPES | Aug 20, 2025 |
| Certified by provider | Aug 20, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist, General Practice Primary | 1223G0001X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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